Exploring perceptions and views of nurses on bedside handover in the units of a hospital in the city of Tshwane
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Nursing, Tshwane University of Technology, Pretoria, South Africa
Popul. Med. 2026;8(Supplement Supplement 1):A3093
ABSTRACT
ABSTRACT:
Title: Exploring Perceptions and Views of Nurses on Bedside Handover in the Units of a Hospital in the City of Tshwane Mofokeng, M.N.,1 Bale, T.L.A., 1 Ramukumba, T.S. 1 1 Adelaide Tambo School of Nursing Science. Tshwane University of Technology Pretoria.
BACKGROUND:
Bedside handover, the process of transferring patient care responsibilities between nurses during shift changes, is becoming more common in order to increase patient participation and safety. This approach shifts bedside handover from the traditional nurses’ station handover to handover by the patient’s bed. Despite the increasing implementation of this approach, the nurses' perceptions on this practice are uncertain, especially in a South African context. This study fills a vital vacuum by investigating nurses' perspectives of bedside handover in a private hospital in Tshwane.
OBJECTIVES:
To determine nurses’ perceptions and views towards bedside handover, focusing on the benefits, challenges, and factors influencing patient involvement. The study also aims to identify strategies for enhancing the handover process and promoting patient-centred care.
METHODS:
A qualitative descriptive design was employed, utilising semi-structured focus group interviews with a purposive sample of professional nurses, enrolled nurses, and nursing assistants. Data collection continued until saturation was reached. Interviews were audio-recorded, transcribed verbatim, and analysed using thematic analysis.
RESULTS:
Three major themes emerged from the study. Themes such as privacy and confidentiality concerns in multi-bedded wards; patient-centred care with inconsistent patient participation; and barriers including time constraints and hierarchical practices. Despite limited formal use of the ISBAR (Introduction, Situation, Background, Assessment, Recommendation) framework, nurses intuitively incorporated its principles during handover
CONCLUSIONS:
Nurses generally view bedside handover positively, acknowledging its role in enhancing patient identification, continuity of care, and safety. However, practical challenges such as privacy concerns, workflow constraints, and lack of structured training limit its effectiveness.